Coben, Marcie L

Coben, Marcie L is an individual health care provider with primary practice located at 12700 Park Central Dr Ste 430, Dallas TX 75251-1527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Coben, Marcie L can be contacted via phone (972) 239-8902.

Contact Information

Primary practice address
12700 Park Central Dr Ste 430 Dallas TX 75251-1527
Fax: (972) 661-2551
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J4301 Texas

Profile Details

NPI number 1821091646
LBN Legal business name Coben, Marcie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821091646 NPPES
Texas MEDICAID 125075501

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